FRESH AESTHETICS MEDICAL SPA
NPI 1174105431
Nurse Practitioner - Gerontology in Twin Falls, ID

Q: What is Fresh Aesthetics Medical Spa's NPI number?

The NPI number for Fresh Aesthetics Medical Spa is 1174105431. It was assigned to this organization in the NPPES registry on April 26, 2021.

Q: What is Fresh Aesthetics Medical Spa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since April 26, 2021

1411 FALLS AVE E STE 105, TWIN FALLS, ID 83301(208) 358-3637 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fresh Aesthetics Medical Spa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESH AESTHETICS MEDICAL SPA (NPI 1174105431) is a healthcare organization registered as a gerontology in Twin Falls, Idaho and active in the NPI registry since April 2021. The organization lists Angela Stanger, Owner/np-c, as its authorized official.

NPPES Registry Identity

NPI1174105431

Entity TypeOrganization

Primary Taxonomy363LG0600X

Legal Business NameFRESH AESTHETICS MEDICAL SPA

Location Address1411 FALLS AVE E STE 105Twin Falls, ID 83301-3455

Mailing Address1411 Falls Ave E Ste 105Twin Falls, ID 83301-3455 · (208) 358-3637

Phone(208) 358-3637

Organization SubpartNo

Authorized OfficialAngela StangerOwner/np-c · (208) 358-3637

Enumeration DateApril 26, 2021

NPPES CertifiedApril 26, 2021

✔ NPI 1174105431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

1411 FALLS AVE E STE 105, Twin Falls, ID 83301

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA STANGER NP

Nurse Practitioner (Gerontology)

1411 FALLS AVE E STE 105
TWIN FALLS, ID 83301

Twin Falls County (208) 358-3637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fresh Aesthetics Medical Spa's NPI number?

The NPI number for Fresh Aesthetics Medical Spa is 1174105431. It was assigned to this organization in the NPPES registry on April 26, 2021.

Where is Fresh Aesthetics Medical Spa located?

Fresh Aesthetics Medical Spa is located at 1411 Falls Ave E Ste 105, Twin Falls, ID 83301. The listed phone number is (208) 358-3637.

What is Fresh Aesthetics Medical Spa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Fresh Aesthetics Medical Spa was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.